NPI | 1548885064 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA E VAIL President 360-207-6119 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2020-06-10 |
Last Update Date | 2024-01-23 |